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Medical Billing Denials & Appeals Specialist

remoteva

This position requires local presence. Please view similar jobs below.

Job Title: Medical Billing Denials & Appeals Specialist

Schedule: Full-Time | Monday to Friday | 9:00 AM - 5:00 PM

Job Title: Medical Billing Denials & Appeals Specialist (Remote)

Job Overview

We are seeking a detail-oriented and experienced Medical Billing Denials & Appeals Specialist to join our team. This role focuses on reviewing denied claims, communicating with insurance companies, and ensuring accurate and timely follow-ups to maximize reimbursements. The ideal candidate is highly organized, a fast learner, and confident in navigating medical billing systems while maintaining professional communication with both insurers and internal stakeholders.

This is a remote position , and candidates from any country are welcome to apply, provided they meet the required qualifications.

Key Responsibilities

  • Review and analyze denied or rejected medical claims to determine the root cause.
  • Contact insurance companies via phone to follow up on denied claims and obtain claim status updates.
  • Prepare and submit appeals with accurate documentation and supporting information.
  • Coordinate with clients or internal teams to gather required patient or claim details.
  • Update billing systems and maintain clear documentation of all follow-up actions.
  • Ensure compliance with insurance guidelines and medical billing regulations.
  • Work efficiently to reduce claim aging and improve reimbursement turnaround time

Requirements

  • Strong experience in medical billing denials and appeals.
  • Proven ability to communicate clearly and professionally in fluent English (verbal and written).
  • Comfortable making frequent outbound calls to insurance providers.
  • Fast learner with the ability to quickly understand workflows and navigate billing systems.
  • Detail-oriented, analytical, and highly organized.
  • Trustworthy, reliable, and able to work independently in a remote environment.
  • Experience using medical billing or practice management systems is highly preferred.
  • Work Setup
    • Remote position
    • Open to candidates worldwide (including but not limited to the Dominican Republic, Philippines, Pakistan, North America, and South America).
    • Must have a stable internet connection and a quiet work environment for phone communication
Vacancy posted 1 day ago
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